| NPI | 1326138967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD03696980E) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0006958) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-08-15 |